Thank you for the response. Our Manager knows nothing about Billing/Coding. But would not care if medical assistants signed off on their notes, but we wanted to be sure it was okay for them to do so. We are located in Oregon. I'm trying to find any information for state legal requirements. Thanks again.For coding/billing purposes, the note just needs to be signed by the individual who performed the services. However, some organizations may require the supervising physician to co-sign the note and/or to document that the services were appropriately supervised, and your state may also have some legal requirements, so I'd recommend you get guidance from your manager as to what their expectations are for the documentation.